An arachnoidal cyst of the brain with post-traumatic hemorrhage: a case report and literature review

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BACKGROUND: Arachnoid cysts (AC) are congenital anomalies characterized by a limited accumulation of cerebrospinal fluid between two layers of the arachnoid membrane. The clinical observation is notable for the complete emptying of the subdural hematoma and the straightening of the brain parenchyma (there is only one such case described in the literature).

CLINICAL CASE DESCRIPTION: An 8-year-old patient, who had been observed for left lateral fissure of the brain since birth, was hospitalized at the Almazov National Medical Research Center due to deterioration of his condition after an injury and an episode of physical exertion. Neuroimaging revealed a rupture of an arachnoid cyst with the formation of a chronic subdural hematoma. Drainage of the subdural hematoma was performed. After surgical treatment, regression of clinical symptoms was noted. According to neuroimaging data, the hematoma was emptied and the brain matter was straightened.

CONCLUSION: We have described a clinical case of AC complicated by hemorrhage with formation of subdural hematoma after mild traumatic brain injury and analyzed the literature on this topic. The course of asymptomatic AC can be complicated by hemorrhage that developed spontaneously or against the background of mild traumatic brain injury. Due to the high elastic properties of the brain in children, complete regression of even long-standing AC is possible.

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作者简介

Magomed Mamatkhanov

Almazov National Medical Research Centre

编辑信件的主要联系方式.
Email: magomedniisp@mail.ru
ORCID iD: 0000-0001-7170-7415
SPIN 代码: 7426-2245

MD, Dr. Sci. (Medicine)

俄罗斯联邦, Saint Petersburg

Dmitry Nizolin

Almazov National Medical Research Centre

Email: dlarinskij@mail.ru
ORCID iD: 0000-0001-8719-0342
SPIN 代码: 9141-7638

MD

俄罗斯联邦, Saint Petersburg

Maria Pospelova

Almazov National Medical Research Centre

Email: pospelovaml@mail.ru
ORCID iD: 0000-0003-3553-6537
SPIN 代码: 1835-0074

MD, Dr. Sci. (Medicine)

俄罗斯联邦, Saint Petersburg

参考

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2. Fig. 1. Magnetic resonance imaging of the brain: arachnoid cyst of the left brain lateral fissure, Galassi type 2.

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3. Fig. 2. Magnetic resonance imaging of the brain: arachnoid cyst of the left brain hemisphere with the formation of a chronic subdural hematoma.

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4. Fig. 3. Magnetic resonance imaging of the brain: enlargement of the subdural hematoma and signs of lateral dislocation of midline brain structures.

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5. Fig. 4. Multispiral computed tomography angiography of the brain: no signs of aneurysm and vascular malformation.

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6. Fig. 5. Magnetic resonance imaging of the brain 3 months after surgery: the cyst and hematoma are emptied.

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7. Fig. 6. Magnetic resonance imaging of the brain 6 (a) and 12 (b) months after surgery: complete arachnoidal cyst regression.

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版权所有 © Mamatkhanov M.R., Nizolin D.V., Pospelova M.L., 2024

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